| NPI | 1386424323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1486) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2994) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-06-19 |